Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $3,066.00 / $7,799.00	Facility		$1,216.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.79 / $1,396.05 / $1,903.45	Professional		$1,263.79	$1,396.05	$1,903.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,372.69 / $1,424.49 / $1,424.49	Professional		$1,372.69	$1,424.49	$1,424.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,562.12 / $1,562.12 / $1,562.12	Facility		$1,562.12	$1,562.12	$1,562.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,307.27 / $1,670.44 / $2,820.73	Professional		$1,307.27	$1,670.44	$2,820.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,630.70 / $2,207.17 / $2,816.66	Professional		$1,630.70	$2,207.17	$2,816.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,089.40 / $15,089.40 / $15,089.40	Facility		$15,089.40	$15,089.40	$15,089.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,263.79 / $1,471.57 / $5,823.00	Professional		$1,263.79	$1,471.57	$5,823.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,767.00 / $1,767.00 / $2,900.00	Professional		$1,767.00	$1,767.00	$2,900.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,562.12 / $1,562.12 / $1,562.12	Facility		$1,562.12	$1,562.12	$1,562.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.92 / $1,715.90 / $2,852.93	Professional		$1,310.92	$1,715.90	$2,852.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,361.01 / $1,361.01 / $1,506.01	Facility		$1,361.01	$1,361.01	$1,506.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,322.11 / $1,364.08 / $1,506.01	Professional		$1,322.11	$1,364.08	$1,506.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,286.56 / $1,726.36 / $2,764.25	Professional		$1,286.56	$1,726.36	$2,764.25